VIRU SC NPI 1295136794

NPI Information

  • NPI: 1295136794
  • Provider Name: VIRU SC
  • Classification: Prosthetic/Orthotic Supplier - 335E00000X
  • Entity Type: Organization
  • Doing Business As: OLIVO WELLNESS MEDICAL CENTER
  • Address: 2901 N CLYBOURN AVE
    CHICAGO, IL
    ZIP 60618
  • Phone: (773) 384-7977

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NPI Details

VIRU SC is a prosthetic orthotic supplier in Chicago, IL. The provider is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. VIRU SC NPI is 1295136794. The provider is registered as an organization entity type.
The provider Is Doing Business As Olivo Wellness Medical Center.

The provider's business location address is:

2901 N CLYBOURN AVE
CHICAGO, IL
ZIP 60618-101
Phone: (773) 384-7977
Fax: (773) 451-8285

The provider's authorized official is Jacqueline Olivo .
The authorized official title is M.d. and has the following contact phone number (773) 423-6178.

The enumeration date for this NPI number is 9/16/2014 and was last updated on 1/25/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1335E00000XProsthetic/Orthotic SupplierYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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